Organization
MEDICAL SUPPLY OUTLET, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENEANE HALEY (PRESIDENT)
(310) 671-3522
Entity
Organization
Contact information
Practice address
105 E 64TH PL, INGLEWOOD, CA 90302-1338
(310) 671-3522
(310) 671-3622
Mailing address
105 E 64TH PL, INGLEWOOD, CA 90302-1338
(310) 671-3522
(310) 671-3622
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
44751
CA
Other
Enumeration date
10/29/2007
Last updated
10/29/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up